Ecks Stefan
Social Anthropology, University of Edinburgh.
Med Anthropol. 2021 Jul;40(5):404-416. doi: 10.1080/01459740.2021.1929208. Epub 2021 May 28.
In India, most healthcare expenses are patients' out-of-pocket payments to private sector providers. Catastrophic health expenditures drive millions of families deeper into poverty. To save poorer households, hundreds of government-funded health insurance schemes have been introduced since the 2000s. These "demand side" schemes suggest that treatments in the private sector will be fully reimbursed. Fieldwork in one of India's largest hospitals shows that GFHIs overpromise. GFHIs are designed to turn patients into co-creators of healthcare value, but instead they deepen individuals' lack of market transparency. Poor patients pay the price for the state's lack of trust in them.
在印度，大多数医疗费用是患者自掏腰包支付给私营部门的医疗服务提供者。灾难性的医疗支出使数百万家庭陷入更深的贫困。为了救助较贫困家庭，自21世纪初以来已推出了数百项政府资助的医疗保险计划。这些“需求端”计划表明，私营部门的治疗费用将得到全额报销。在印度最大的一家医院进行的实地调查显示，政府资助的医疗保险计划承诺过多。政府资助的医疗保险计划旨在让患者成为医疗保健价值的共同创造者，但相反，它们加深了个人对市场透明度的缺乏。贫困患者为国家对他们缺乏信任付出了代价。
